Provider Demographics
NPI:1467821850
Name:ABARCA, REBA (PT)
Entity type:Individual
Prefix:MS
First Name:REBA
Middle Name:
Last Name:ABARCA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:REBA
Other - Middle Name:
Other - Last Name:MOHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7734 N 59TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-7816
Mailing Address - Country:US
Mailing Address - Phone:623-243-9956
Mailing Address - Fax:623-249-2674
Practice Address - Street 1:7734 N 59TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-7816
Practice Address - Country:US
Practice Address - Phone:623-243-9956
Practice Address - Fax:623-249-2674
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist